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Indiana rates for HCPCS 74775

Perineogram (eg, vaginogram, for sex determination or extent of anomalies)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $524.81 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $275.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $724.44 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $194.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $48.98 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $125.89 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $104.71 / $177.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $204.17 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $239.88 / $416.87